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Review
. 2024 Oct;35(10):2039-2052.
doi: 10.1111/jce.16399. Epub 2024 Aug 13.

Convergent ablation for persistent atrial fibrillation: A UK multicentre perspective

Nilanka N Mannakkara  1   2 , Ibrar Khan  1 , Auns Ghazanfar  3 , Nadeev Wijesuriya  1   2 , Vishal S Mehta  1   2 , Felicity De Vere  1   2 , Sandra Howell  1   2 , Shaumik Adhya  1   4 , Bradley Porter  5 , Nicholas Child  3 , Reza Razavi  2 , Christopher A Rinaldi  1   2 , Paolo Bosco  1 , Christopher Blauth  1 , Jaswinder S Gill  1   2
Affiliations
Review

Convergent ablation for persistent atrial fibrillation: A UK multicentre perspective

Nilanka N Mannakkara et al. J Cardiovasc Electrophysiol. 2024 Oct.

Abstract

Atrial fibrillation (AF) is the most common sustained arrhythmia worldwide and remains a major cause of morbidity and mortality. Unfortunately, a significant proportion of patients have persistent AF, for which conventional catheter ablation is less effective. However, convergent ablation has emerged in recent years as a hybrid treatment targeting both the epicardium and endocardium in a multidisciplinary joint cardiothoracic and electrophysiology procedure, with promising efficacy outcomes in recent studies. This treatment is increasingly being performed in the United Kingdom. This review article discusses the rationale and evidence behind convergent ablation, along with factors that need to be considered when setting up a successful ablation service.

Keywords: arrhythmia; atrial fibrillation; catheter ablation; hybrid ablation.

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References

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